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1467063727
AUTUM JOHNSON
MORGANTOWN, WV
NPI
1467063727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-11
Last Update Date
2021-06-29
Business Address
AUTUM JOHNSON
1201 DORSEY LN
MORGANTOWN, WV 26501-7076
Phone number: 304-291-9066
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Mailing Address
AUTUM JOHNSON
1201 DORSEY LN
MORGANTOWN, WV 26501-7076
Phone number: 304-291-9066
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